Njengamanje, umbhalo we-ultrasound we-gland wegciwane uvumela ukubona ukuthi izici ezikhulayo zalesi sitho, ukucacisa ukuthi zikhona yini izicubu ezingxenyeni zayo noma i-foci encane yokuvuvukala. Kuye ngemigomo yokugcina yalolu cwaningo, i-endocrinologist ilungisa uhlelo lonke lokuxilongwa ngesiguli, ngoba i-ultrasound ibonisa kuphela isimo se-gland, kodwa hhayi ukusebenza kwayo.
Bakha nini i-ultrasound shchitovidki?
I-Ultrasound ye-gland yegciwane iyadingeka ngokuphelele uma:
- isiguli sisebenza ezimweni ezingekho emzimbeni, isibonelo, njalo ekhompyutheni, evame ukushintsha izindawo zendawo yezulu, isesimweni esicindezelayo;
- isineke esingaphezu kweminyaka engama-40 ubudala - kule minyaka, cishe kabili ingozi yokuhlakulela ama-neoplasms amabi futhi angenangqondo, nomdlavuza we -roid ku-ultrasound uzobonakala;
- isiguli kaningi ngesikhathi sokuphila kwakhe kwakudingeka sithathe amalungiselelo e-hormonal ngesikhathi sokwelashwa kwezinqubo ezihlukahlukene zezokwelapha;
- Izinqubo ze-pathological in the gland yegciwane zitholakala ezihlotsheni eziseduze zesiguli (i-heredity engalungile);
- isiguli sinesifo sikashukela noma izifo ze-endocrine.
Ingabe kuvamile ukubona ubukhulu begciwane le-thyroid kanye ne-ultrasound ngesikhathi sokukhulelwa. Ungayenza nganoma yisiphi isikhathi sokubeletha ingane kanye nesigaba sokuhlela. Kumisa ngokufanelekile ukuhlolwa okunjalo lapho kwenzeka khona izibonakaliso zezifo shchitovidki (ukungaziqapheli kwesisindo, ukucasula, ukulibala, ukuphulwa kwe-thermoregulation noma imvamisa yokunciphisa osondelene noma inhliziyo).
Yini ongayibona ku-ultrasound?
Akuzona zonke iziguli eziyazi ukuthi i-ultrasound ye-gland yegciwane ibonisa kanjani, futhi ivame ukwenqaba ukwenza inqubo. Lokhu kuyiphutha ngokuyisisekelo, ngoba i-ultrasound yenza kube lula ukuthola isithombe equkethe ulwazi mayelana nomzimba womzimba wonke, kanye nezindawo zawo eziqondene: izimo zesisu, izinqubo zokuvuvukala, ama-node, ukuguqula noma ukuphazamiseka kwesayizi. Ngesikhathi esifanayo, ngaphambi kokuba i-ultrasound ye-gland igwetshwe, akukho amalungiselelo akhethekile okudingekayo.
Incazelo enembile yemiphumela yocwaningo kufanele ibe nesakhiwo esilandelayo:
- ukuma kanye nendawo yelungu;
- ubungako nevolumu yesabelo ngasinye;
- ivolumu yenani lamasheya;
- imfundo eqondile;
- uhlobo lwesakhiwo somzimba;
- ukugeleza kwegazi;
- isiphetho.
Norm kwimiphumela ye-ultrasound
Isimiso nge-ultrasound gland yegciwane sinqunywa izinkomba eziningana. Okokuqala, usayizi. Imiphumela emihle isho ukuthi kwakungekho ukwehla noma ukwanda kwesitho (kumadoda angaphezu kuka-25 mm, kwabesifazane abangaphezu kuka-18 mm). Imikhawulo kumele ibe bushelelezi futhi iqondile. Kanti futhi okuvamile ukucacisa i-ultrasound yengqungquthela yegilo yilapho kungekho ukushintsha kwezicubu, ama-formations noma ama-node abonakalisiwe, futhi i-ehostruktura ihambisana.
Ngokujwayelekile, imiphumela ihlanganisa ukuhlaziywa kwesimiso se- lymph nodes yentamo (subclavia ne-submandibular), njengoba umkhuba we-ultrasound wegciwane le-thyroid uhambisana nendawo evamile yalezi nodes. Ngokuyinhloko, ukuthola ukuthi isifo sini, bheka ubukhulu bawo.
Kunoma yikuphi, isiphetho se-ultrasound ye-gland gland ayisitholakali. Imiphumela yalolu cwaningo luyoba ulwazi oluyisisekelo kuphela lwe-endocrinologist. Ukuze kutholakale ukuthi yiluhlobo luni lwesifo umzimba osemangazile, ukuhlaziywa okukhethekile noma ngisho ne-biopsy kufanele kwenziwe. Futhi ngokuqhathanisa yonke imiphumela yocwaningo ungenza yini ukuxilongwa.
Ngokwejwayelekile noma izinga le-US ye-gland yegciwane ehlaziya ngobuningi noma inani lamahomoni e-thyroid angase akhethwe noma akhethiwe, njengasekuqaleni kwesigaba sokuthuthukiswa kwezifo ezithile zenguquko esakhiweni futhi ubukhulu bezinhlayiya ezingenakwenzeka, futhi lapha nethonya eliyingozi emzimbeni osevele usinikeza.